Medicaid Managed Care - U.S. Senate Special Committee on Aging

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participate in the redesign process and have meaningful roles in the ongoing management
of the system. The central aim should be to create a system grounded in person-centered
support principles, including consumer-managed, consumer-directed service alternatives,
that offer real opportunities to link natural and other community resources with public supports
to best meet the needs of the target population.
These outcomes will be achieved only if the redesign process itself is informed by critical
principles that ensure the coherent adaptation of managed care approaches to long-term
supports for people with developmental disabilities. It is essential that the organizations
chosen to carry out this redesign be carefully selected so that all stakeholders can be
confident that the resulting service system will operate in the best interests of individuals
and families.
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